Chapter 04 Health Promotion, Health Maintenance, and Home Health Considerations

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Chapter 04  Health Promotion, Health Maintenance, and Home Health Considerations

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse reminds the 70-year-old male patient with hypertension who is on a sodium- restricted diet that the most effective health practice to reduce sodium intake is to:

  1. avoid all salty foods.
  2. discontinue eating at restaurants.
  3. read food labels on food containers carefully.
  4. limit the amount of salt added to food.

ANS: C
Reading labels will prevent the purchase of sodium-laden foods. Sodium-restricted foods are available on most menus. Simply avoiding salty foods does not guarantee less sodium because there are many foods containing sodium that are not salty. Adding salt should be absolutely restricted, not diminished.
DIF: Cognitive Level: Analysis REF: 75 OBJ: 1
TOP: Sodium Restriction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. The nurse takes into consideration that older adults may abuse alcohol because they use it as a(n):

  1. sleep aid.
  2. appetite stimulant.
  3. socialization activity.
  4. food source.

ANS: A
Many older adults abuse alcohol to make themselves drowsy enough to sleep.
DIF: Cognitive Level: Analysis REF: 76 OBJ: 7
TOP: Alcohol Abuse KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is a big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s too expensive.” The nurse explains that the patient:

  1. can take both vaccines at the same time every fall.
  2. needs to take the pneumonia vaccine every 10 years.
  3. has Medicare coverage for both vaccines.
  4. can obtain both vaccines free of charge from the Public Health Department.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 4-2

ANS: B
Pneumonia vaccine is given to individuals usually between the ages of 65 and 70 years and is repeated every 10 years. Both inoculations can usually be obtained from community clinics for a small fee.
DIF: Cognitive Level: Application REF: 76 OBJ: 7
TOP: Pneumonia Vaccine KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. The nurse reminds the 75-year-old that older adults should have visual and hearing examinations every:

  1. 6 months.
  2. 12 months.
  3. 2 years.
  4. 3 years.

ANS: B
Annual examinations for vision and hearing to check for glaucoma and diminished hearing are recommended.
DIF: Cognitive Level: Knowledge REF: 76 OBJ: 1
TOP: Visual and Hearing Evaluations KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

5. To prevent polypharmacy or potential drug-drug interactions, the nurse encourages the 75-year-old male patient to:

  1. seek medical care from only one physician.
  2. read up on all drugs that are prescribed.
  3. keep a list of drugs that he is currently taking.
  4. use only one pharmacy to fill prescriptions.

ANS: C
Keeping a current drug list as a quick reference for any licensed professional to review before prescribing medication is one method to prevent polypharmacy.
DIF: Cognitive Level: Comprehension REF: 77 OBJ: 1
TOP: Prevention of Polypharmacy KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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